|Publication number||US7914547 B2|
|Application number||US 11/755,675|
|Publication date||29 Mar 2011|
|Filing date||30 May 2007|
|Priority date||15 Jun 2006|
|Also published as||CA2656414A1, EP2026694A2, US7867244, US7909842, US7955348, US7998160, US8016848, US8192454, US20080027474, US20080033468, US20080065132, US20080077167, US20080082116, US20110087134, US20110144684, US20110282375, WO2007146913A2, WO2007146913A3|
|Publication number||11755675, 755675, US 7914547 B2, US 7914547B2, US-B2-7914547, US7914547 B2, US7914547B2|
|Inventors||Samuel Mason Curry, John Andrew Trissel, Ray Adams Lathrop, Stephen J. Flynn, Kevin Young, Jonathan M. Wyler, Damien Vizcarra, Maiya Shur|
|Original Assignee||Abbott Diabetes Care Inc., Facet Technologies, Llc|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (64), Non-Patent Citations (2), Referenced by (5), Classifications (6), Legal Events (4)|
|External Links: USPTO, USPTO Assignment, Espacenet|
This Application claims the benefit of the filing date of U.S. Provisional Patent Application possessing Ser. No. 60/813,904 filed Jun. 15, 2006, the entire contents of which are incorporated herein by reference, and U.S. Provisional Patent Application possessing Ser. No. 60/877,215 filed Dec. 26, 2006, the entire contents of which are incorporated herein by reference. This Application is filed concurrently with the following related applications: application Ser. No. 11/755,673 entitled “LANCETS AND METHODS OF USE”; application Ser. No. 11/755,420 entitled “LANCING DEVICES AND METHODS”; application Ser. No. 11/755,322 entitled “LANCING DEVICES HAVING LANCET EJECTION ASSEMBLY”; and application Ser. No. 11/755,648 entitled “LANCING DEVICE HAVING DEPTH ADJUSTMENT ASSEMBLY”, the disclosures of which are hereby incorporated by reference.
Lancing devices are typically handheld units that permit users to draw blood for testing and diagnostic purposes. These devices include a housing with a piercing aperture, a lancet that contains one or more needles, and a firing mechanism. The firing mechanism typically includes a spring or other biasing means which can be cocked either by insertion of the lancet or by pulling a cocking handle, for example. Once the lancing device is cocked, it is placed against the user's skin, often the fingertip. The user can then press a trigger to actuate the firing mechanism, which momentarily drives the sharp tip of the needle through the piercing aperture to puncture the user's skin and draw blood. When the lancing operation is complete, the user can press a second actuator to eject the lancet for removal and disposal.
A consideration in the design of lancets is to minimize the discomfort experienced by users during the lancing process. To this end, some lancing devices include mechanisms to adjust the distance that the needle sharp protrudes through the piercing aperture, thus regulating the depth that the needle penetrates the user's skin. In some cases, these depth adjustment mechanisms include adjustable stops that limit the forward movement of the lancet during firing. In other cases, depth adjustment mechanisms adjust the tip of the lancing device to reduce or increase the distance that the needle sharp protrudes from the lancing device. One approach for depth adjustment is illustrated in U.S. Pat. No. 5,984,940. A lancet holder is moved axially within a lancing device housing to move the needle closer to or farther away from the piercing aperture, thus adjusting penetration depth.
Another consideration in the design of lancing devices is to avoid accidental needle pricks when inserting and removing lancets from the lancing device. To this end, lancets include safety features such as frangible tabs which cover the needle sharp prior to insertion in the lancing device. Once the lancet is inserted, the use can break off and remove the frangible tab. Some lancets also include sleeves coaxially mounted to the main body of the lancet. The sleeve can be positioned so that it protectively encloses the needle sharp. During the lancing operation, the main body of the lancet slides through the sleeve to expose the lancet sharp. After removal of the lancet, however, the sleeve can be locked in its protective position, reducing the likelihood that a person handling the use lancet will prick himself or herself.
Lancing devices can draw blood from a user's fingertip or other body part. A fingertip is a good testing site because it contains a large number of blood vessels and it is therefore easy to draw an adequate quantity of blood from the fingertip. However, fingertips are also sensitive and users who must frequently draw blood samples may experience discomfort from repeated sampling of the fingertips. Therefore, some users also perform lancing operations on parts of the body, and this is known as alternate site testing or alternate site incision, also known as “AST”.
To effectively draw blood from an alternate site, it is helpful to have the needle penetrate the skin more deeply. It is also helpful to have a relatively wide piercing aperture. A wider piercing aperture acts as an expression ring by allowing the skin to pucker into the aperture's opening and by compressing a wider area of skin around the incision. When skin protrudes through the aperture into the housing, it is also more deeply penetrated by the lancet.
A piercing aperture that is suitably wide for AST lancing may be too wide for finger testing. Thus, some lancing devices provide removable endcaps with different size piercing apertures. A user attaches one endcap (with a wider piercing aperture) when the lancing device is used for AST lancing; and a different endcap (with a more narrow piercing aperture) when the lancing device is used for fingertip lancing.
Another approach has been proposed in which the piercing aperture is adjustable in size, as illustrated in US Pat. Application 2004/0236251. The smaller size is used during the incision, whether on a finger tip or alternate site. Once the incision is made, the piercing aperture is expanded to provides a larger opening that can be used to express the desired quantity of blood from an alternate site. The size of the piercing aperture can be adjusted by moving a reference member into the piercing aperture, effectively obstructing the opening and providing a flat surface which the user's skin (finger tip or alternate site) is pressed for lancing. After the incision is made, the reference member is retracted to provide an unobstructed, relatively wide expression opening.
It has also been proposed that the reference member be attached to the lancet itself. During incision, the lancet and the reference member are moved together toward the piercing aperture to effectively narrow the piercing aperture. After incision, the reference member and the lancet are retracted to leave the piercing aperture unobstructed. Prior to the lancet's insertion into the lancing device, the reference member can be adjusted relative to the lancet for purposes of regulating the penetration depth of the needle.
Another consideration in the design of lancing systems is the case with which a lancet can be inserted into the lancing device. It is known that when a lancet is inserted into a lancing device, the force of the insertion can be used to cock the device. However, if the device is already cocked, and a lancet was to be inserted, there is some risk that the device would discharge during the insertion process and the user would be accidentally pricked. It is also known to provide a removable cap on the housing to permit insertion of the lancet. However, this requires an additional step in the process (namely, removing the cap). It would be desirable to provide a lancing device that can be loaded without removal of the cap and that could not be loaded when cocked.
Another consideration in the design of lancets is to minimize the handling of the lancet by the user during ejection of the lancet from the lancing device. To this end, it is known to provide ejection mechanisms that include a sliding member that engages the lancet to push it out of the lancing device. In such cases, it is helpful to restrain the lancet carrier from forward movement. Known mechanisms for achieving this use the sliding member to actuate a releasable connector to engage the lancet carrier and prevent its forward movement, as shown for example in U.S. Pat. No. 6,197,040. The releasable connector is biased towards the ejection slide and away from the lancet carrier and is configured so that when the lancet carrier is urged forward, a force vector is transmitted through the connector to the ejection slide. This means that the slide and the ejector rub against each other with a degree of force, causing friction that is discernable to the user. It would be desirable to provide an ejection mechanism that minimizes friction and force imposed on moving parts to reduce wear.
Lancing device and methods of use are provided. In accordance with certain embodiments of the invention, a lancing device is provided that includes a housing having a skin-engaging end that defines a piercing aperture and a user-actuated assembly operative to adjust the effective size of the piercing aperture between a first diameter and a second diameter. The first diameter is sufficient to allow a user's skin to pucker into the piercing aperture, and the second diameter is smaller than the first diameter. A lancet assembly is also included, which as a removable lancet with a sharp tip. The lancet assembly is disposed in the housing to momentarily project and retract the sharp tip through the piercing aperture when the effective size of the piercing aperture is adjusted to the first diameter to permit the sharp tip to incise the user's puckered skin.
In accordance with other embodiments of the invention, a lancing device is provided. The device includes a housing having a user-engaging end that defines a piercing aperture; a lancet disposed in the housing and having a needle terminating in a sharp tip and a sleeve disposed about at least a portion of the needle and moveable relative to the housing and the needle; and a user-controlled actuator operative to selectively move the sleeve, independently of the needle, between at least a forward position in which the sleeve obstructs a portion of the piercing aperture and a rearward position in which the sleeve is withdrawn from the piercing aperture to permit a user's skin to extend through the piercing aperture during incision.
In accordance with other embodiments of the invention, a lancing device is provided for use with a lancet having a needle terminating in a sharp tip for incision in a user's skin, and a sleeve disposed about at least a portion of the needle and movable relative to the needle. The device includes a housing having a user-engaging end that defines a piercing aperture; an actuator having a control member accessible by a user outside the housing and a sleeve-engagement portion operatively coupled to the control member and disposed within the housing. The sleeve-engagement portion is responsive to movement of the control member to engage the sleeve in one of a forward position and a rearward position when the lancet is inserted into the housing. The forward position is sufficiently close to the piercing aperture so that the sleeve is interposed within the piercing aperture during incision. The rearward position is sufficiently spaced apart from the piercing aperture to permit skin to pucker through the piercing aperture during incision. The lancing device also includes a lancet engagement mechanism within the housing that is adapted to engage the lancet needle at a position that is independent of the position that the sleeve-engagement portion engages the sleeve.
In accordance with other embodiments of the invention, a method is provided for using a lancing device having a skin-engaging surface that defines a piercing aperture. The method includes positioning inside the lancing device a lancet having a needle terminating in a sharp tip; setting the effective size of the piercing aperture to one of a first diameter that is sufficient to allow a user's skin to pucker into the piercing aperture and a second diameter that is smaller than the first diameter; and incising the user's skin with the lancet while effective size of the piercing aperture is set at one of the first diameter and second diameter.
The description herein makes reference to the accompanying drawings wherein like reference numerals refer to like parts throughout the several views, and wherein:
Lancing device 102 includes an alternative site testing (“AST”) mode actuator ring 116, a user-actuated assembly or user-controlled actuator which the user may rotate to switch lancing device 102 from a finger mode (in which lancing device 102 is well-suited for drawing blood from the user's fingertip) to AST mode (in which lancing device 102 is well suited for drawing blood from part of a user's body other than a fingertip).
Lancing device 102 includes a depth adjuster 117, which the user may rotate to limit the forward axial movement of lancet 104 relative to the skin-engaging surface of cap 108, and thereby limit the depth that lancet 104 penetrates a user's skin.
In this specification, unless otherwise provided, the terms “forward” and “front” mean toward the skin-engaging longitudinal end of lancing device 102, and “rear” and “rearward” mean toward longitudinal end of lancing device 102 opposite the skin-engaging end; and term “left” means the left side L of lancing device 102 and the term “right” means the right side R of lancing device 102 (as shown in
As shown in
The general operation of lancing system 100 is illustrated in
Firm insertion of lancet 104 may cock lancing device 102 (e.g., in AST mode). After initial use, lancing device 102 may also be cocked by pulling cocking handle 112 (see
Once lancet 104 is fully inserted, removable tab 124 extends from piercing aperture 110. Referring to
With lancet 104 inserted into lancing device 102 and lancing device 102 having been cocked, the user places the front surface of sleeve 130 of skin-engaging cap 108 onto his or her finger or other body part and presses trigger 114. The depression of trigger 114 actuates a firing mechanism within housing 106 (described below) to momentarily thrust needle 118 forward through piercing aperture 110.
As shown in
Lancing system 100 can also be used in a kit which includes test strips and an analyzer. After lancing system 100 is operated to draw blood, the user applies the bead of blood to the test strip and inserts the test strip into the analyzer for assessment of blood composition, such as levels of glucose.
The diameter of lancet body 122 tapers to form a conical rear end 136 and a neck 138 which define there between a mounting bulb 140.
Wing wells 142 a and 142 b are formed in left and right lateral surfaces of lancet body 122, respectively, near the mid-section of lancet body 122. Extending from each wing well 142 a, 142 b is one of locking members, or wings 132 a, 132 b. Each of wings 132 a, 132 b has a short, stiff base portion 144 extending radially out from lancet body 122 and a planar flexion member 146 having a wingtip 148 extending in generally forward direction but at an acute angle, which in this case is illustrated as approximately 45° away from the major axis of the lancet body 122 when in the extended configuration. Wings 132 a, 132 b may be molded as part of lancet body 122.
Wings 132 a, 132 b can flap into a retracted configuration by folding planar flexion members 146 from their extended position shown in
Other suitable locking members may be used as an alternative to wings 132 a, 132 b. These other suitable locking members include, but are not limited to, pivoting members that pivot rather than fold into the wing wells, studs that extend out from the lancet body that can be pushed into a retracted position into a well in the lancet body, or barbs.
An annular flange 164 circumscribes sleeve 130 between its front portion 156 and rear portion 158. The front face of annular flange 164 defines a mounting shoulder 166 and the rear face of annular flange 164 defines an ejection shoulder 168. As further explained below, mounting shoulder 166 provides a surface permitting a receiver 170 (see
In rear portion 158, sleeve 130 is generally hexagonal in cross section (except for its rear end 152, as explained below) and defines lower planar faces 172 a and 172 f, upper planar faces 172 c and 172 d and lateral planar faces 172 b and 172 e. Lateral planar faces 172 b and 172 e can be used during manufacturing to position sleeve for installation on lancet body. Also, as explained below, when lancet 104 is inserted into receiver 170, lower planar faces 172 a and 172 f and upper planar faces 172 c and 172 d mate with corresponding surfaces inside receiver 170 to orient lancet 104 within lancing device 102, as shown in
As best seen in
The inner chamber 154 of sleeve 130 is sized and configured to allow lancet body 122 to be snugly coaxially disposed within sleeve 130. The sleeve 130 has a width of less than 5 mm. As best seen in
Each of guidance ribs 134 of lancet body 122 fits into one of grooves 180, permitting sleeve 130 to slide axially forward over lancet body 122 to an extended protective position (in which front portion 156 of sleeve 130 surrounds sharp tip 120, as shown in
The cylindrical contour of inner chamber 154 is further modified by the inclusion of elongated guide surfaces which are wing engagement surfaces 184, a pair of wide, shallow lateral grooves on opposing lateral sides of sleeve 130 that extend the length of sleeve 130.
The function of wing engagement surfaces 184 is explained as follows. When wings 132 a, 132 b are in the extended configuration, their wingtips 148 span a distance greater than the diameter of inner chamber 154. If sleeve 130 moves rearward relative to lancet body 122 from its protective extended configuration (shown in
However, when wings 132 a, 132 b are in their retracted configuration (that is, folded into wing wells 142 a, 142 b as shown in
Sleeve 130 and wings 132 a, 132 b can be separate components, as shown above, so that sleeve 130 can be in space-apart relation to wings 132 a, 132 b. This permits sleeve to be moved over a wider range of lancet body 122 to accommodate operation of lancing device 102 is AST and finger modes, as described below.
Note that for simplicity in illustration, the relative axial movement of sleeve 130 and lancet body 122 is described solely in terms of sleeve 130 moving over the body 122. In operation of lancing device 102, most notably during firing of lancet 104, this same relative movement is achieved by moving the lancet body 122 while the sleeve 130 remains stationary. However, the mechanical interaction between sleeve 130 and body 122 in that case is still as described above.
Internal Construction of Lancing Device
These components of lancing device 102 will now be described.
Left half 206 also includes near its front end a pair of semi-annular flanges 218 a. Flanges 218 a define the left half of shoulders 220 that are spaced apart slightly more than the width of AST mode actuator ring 116, so that AST mode actuator ring 116 can be mounted for rotation between shoulders 220 of housing 106, as shown in
An elongated slot 222 is formed near the lower front end of left half 206. As explained below, elongated slot 222 provides a guide track for ejection actuator 121 as it slides axially to eject lancet 104 from lancing device 102 and also permits intercoupling of ejection slide 115 and ejection actuator 121 through housing 106. Adjacent to and just above elongated slot 222 is an elongated member 224 that functions as an additional guide for the movement of ejection actuator 121.
A rearward portion of left half 206 has a reduced diameter to define a semi-annular rear flange 226 a from which extends the left half of a distal mounting portion 228. As best seen in
Right half 204 also includes near its front end a pair of semi-annular flanges 218 b aligned with flanges 218 a of left half 206. Flanges 218 b define the right half of shoulders 220, as explained above in reference to left half 206. The front-most of flanges 218 b also defines the right half of front aperture 200 of housing 106.
An elongated slot 240 for ejection slide 115 and ejection actuator 121 is formed near the lower front end of right half 204. Slot 240 is in alignment with and performs the same function as its counter-part slot 222 of left half 206.
Below lancet carrier right hand guide track 236 are positioned a drive spring boss 244 on which drive spring 210 is mounted (as best seen in
Positioned forward of and slightly above drive spring boss 244 is a drive spring stop 250 in the form of a finger. Positioned rearward of and slightly above return spring boss 246 is return spring stop 252 also in the form of a finger. The operations of drive spring stop 250 and return spring stop 252 are explained below in reference to
Positioned near the upper end of right half 204 just rearward of trigger aperture 203, is an open-ended cylindrical trigger pivot well 253, on which trigger 114 is pivotally mounted as described below in reference to
A rearward portion of right half 204 has a reduced diameter to define a semi-annular rear flange 226 b from which extends the right half of distal mounting portion 228. Near the rear end of distal mounting portion 228 is a semi-annular flange 230 b defining the right half of rear aperture 201 of housing 106.
Cap 108 can be removable from the front end of housing 106 to permit cleaning of the interior of lancing device 102. To permit its removal, cap 108 can be threadably connected to housing 106 or connected via snap fit, for example. However, during operation of lancing device 102 it is not necessary to remove cap 108. Alternatively, cap 108 can be permanently attached to or integrally molded with housing 106. Lancet 104 can be loaded into lancing device through piercing aperture 110 while cap 108 remains attached to housing 106. As explained below, the same cap 108 can be used when lancing device 102 is operated in both finger mode and AST mode. In other words, cap 108 need not be replaced to accommodate use of lancing device in finger and AST modes.
A push plate 270 extends from main body 258 near in the rear of mouth 260 so that push plate 270 abuts the tip of conical rear end 136 of lancet body 122 when lancet body 122 is fully inserted into mouth 260.
An elongated horizontal slot 284 is provided in rearward half portion of lancet carrier 208, below platform 278. Slot 284 defines horizontal sidewalls 286 and 288, a back wall 290 and a front wall 292. As will be explained below with reference to
Carrier drive and return spring engagement bosses 280 and 282 are disposed within lancet carrier right-hand guide track 236 in housing (see
Cocking and Firing
A compression spring (not shown) may be placed at rear aperture 201 of housing 106, with one end of the spring secured to housing 106 and the other end secured to handle portion 312 to bias handle portion 312 toward housing.
As shown in
Trigger 114 is mounted to the housing 106 with the trigger button 322 extending through trigger aperture 203 in housing 106 (see
Trigger button 322 includes a colored band 325 circumscribing the bottom portion of trigger button 322 and can have a color that contrasts with the color of the remainder of trigger button 322. For example, trigger button 322 can be black with a colored band 325 that is red. Colored band 325 is visible to a user when the trigger button 322 extends fully through trigger aperture 203. Colored band 325 is at least partially obscured from the user's view by the housing 107 when trigger button 322 does not fully extend through the trigger aperture 203, as shown in
A biasing leaf element 326 extends from the rear end of trigger 114 and urges downward the rear end of elongated body 318 so as to urge tooth 324 toward lancet carrier 208 and, in see-saw fashion, urges trigger button 322 upward. By pressing trigger button 322 down, the user can overcome the force of biasing leaf element 326 and swing tooth 324 upward away from lancet carrier 208 to fire lancing device 104 when cocked.
In the neutral position, tooth 324 of trigger 114 rests on platform 278 of lancet carrier 208 (as also shown in
In the neutral position, cocking handle 112 is at rest on the rear end of housing 106, cocking rod 314 is fully extended into housing 106 and cocking hook 316 is disposed in slot 284 some distance removed from backwall 290.
As bias leaf 326 pushes tooth 324 into lancet carrier recess 247, it urges trigger button 322 upward in the direction of Arrow A to fully extend through trigger aperture 203. In this position, colored band 325 about the base of the trigger button 322 is visible to the end user to indicate that the lancing device 102 is cocked, as also shown in
When the user depresses the trigger button 322 (in the direction of arrow B), the force of biasing leaf 326 is overcome, and tooth 324 swings upward (in the direction of arrow C) out of recess 274 in lancet carrier 208. Once tooth 324 is removed from recess 274, cocked lancet carrier 208 is no longer restrained and it accelerates forward under the force of drive spring 210 toward its extended piercing position as shown in
In the extended piercing position, lancet carrier 208 is positioned forward of the neutral position, so that return spring engagement boss 282 pushes tine 306 of return spring 212 into a tensioned position. In this tensioned position, return spring tine 306 urges the lancet carrier 208 rearward, away from the user's skin back toward the neutral position shown in
Note that during the cocking and firing operations described above, lancet sleeve 130 can remain stationary.
As explained above, lancet carrier 208 can also be cocked by insertion of lancet 104 while lancing device 102 is in AST mode. When lancet 104 is inserted, conical rear end 136 of lancet body 122 pushes lancet carrier 208 rearward to its cocked position, where tooth 324, of trigger 114, extends into recess 274 of lancet carrier 208 to hold lancet carrier in its cocked position.
It will be appreciated that springs 210 and 212 and trigger 114 comprise a user-actuated drive mechanism. Any other suitable drive mechanisms can be employed, including for example, coil springs, electromagnetic drives, or impact hammer arrangements. It will be further appreciated that the trigger mechanism employed may be any other suitable triggering means, including for example pulley movement actuated by rotating or pulling the lancet device or a sliding mechanism.
Depth adjuster 117 includes a depth adjustment ring 330 mounted for rotation about the distal mounting portion 228 of housing 106 as shown in
The exterior of depth adjustment ring 330 is accessible to users for rotation and includes indicia 338 and a knob 339 to facilitate manipulation by the user. As depth adjustment ring 330 rotates, indicia 338 are visible to the user to indicate the resulting depth setting.
Depth adjuster 117 also includes a depth adjuster actuator 340, which has an generally Z-shaped chassis 342. A finger 344 projects from the rear end of Z-shaped chassis 342 and is sized to fit in threads 332. A guide surface 346 extends from an intermediate portion of Z-shaped chassis 342. A depth stop 348 projects from the forward end of Z-shaped chassis.
As best seen in
As depth adjustment ring 330 rotates, finger 344 follows threads 332 causing depth adjustment actuator 340 to move axially forward and rearward (depending on the direction that depth adjustment ring 330 is rotated). This motion in turn causes depth stop 348 to slide forward and rearward relative to slot 284 (depending on the direction that depth adjustment ring 330 is rotated). The motion of depth adjuster actuator 340 is limited by the length of slot 284 or alternatively by the length of threads 332. There is now a pair of stops that limit the rotation of the ring 330.
Guide surfaces 346 and depth stop 348 slide along adjacent planar parallel guide surfaces 350 and 352, respectively, extending from housing 106 (see
When the user depresses trigger 114 when lancing device is in its cocked state, drive spring 210 propels lancet carrier 208 forward to extend sharp tip 120 through piercing aperture 110 and into the user's skin. During forward motion of lancet carrier 208, depth stop 348 remains stationary so that eventually the back wall 290 of slot 284 will impact depth stop 348, as shown in
AST Mode Adjustment
Lancing device 102 operates in AST mode and finger mode. In AST mode, lancing device 102 is configured for use with fleshy parts of the body such as a thigh or forearm. In finger mode, lancing device 102 is configured for use with a fingertip.
In other words, when the lancet sleeve 130 is interposed within the piercing aperture 110, it adjusts the effective size of the piercing aperture 110 to a second diameter of the front end of the sleeve 150. When the lancet sleeve 130 is withdrawn from the piercing aperture 110, it adjusts the effective size of the piercing aperture to a larger first diameter, in this embodiment, the diameter of unobstructed piercing aperture 110. This larger first diameter is sufficiently large to allow the user's skin to pucker into the piercing aperture 110, as shown in
AST mode actuator ring 116 is shown in more detail in
AST mode actuator ring 116 includes two opposing bosses 364 and 366, each of left and right semi-circular portions 356 and 358, respectively. Each boss 364 and 366 if sized to engage corresponding cam trails 368 and 370 on receiver 170 (see
As best seen in
Indicia 376 on the outer circumferential surface of the AST mode actuator ring 116 is visible to the user through AST mode actuator aperture 202 when AST mode actuator ring 116 has been rotated to the switch lancing device 102 into AST mode. In this case, indicia 376 is a diagram of a human body, conveying to the user the fact that in AST mode lancing device 102 can be used to draw bodily fluid from tissue other than a finger, other symbols or icons may be used. Alternatively, indicia 376 can be located on AST mode actuator ring 116 so that indicia 376 is visible through AST mode actuator aperture 202 when AST mode actuator ring 116 has been rotated to switch lancing device 102 into finger mode. Alternatively, two indicia can be used, one to indicate AST mode and the other to indicate finger mode. Alternatively, the two indicia may be located on the housing.
Cam trail 370 is complementary to cam trail 368, and runs at a forty five degree angle from vertical from a forward-lower portion of the right exterior side of receiver body 380 to a upper-rearward portion of the right exterior side of receiver body 380.
AST mode actuator is clasped about receiver body 380 of receiver 170 so that bosses 364 and 366 are inserted into cam trails 368 and 370, respectively, as shown in
Extending from the forward end of receiver body 380 are a pair of upper and lower guide fins 382 and 384 and a pair of lateral fins 386 and 388. Lower guide fine 384 is longitudinally bifurcated by slot 222. Fins 382-388 are curved about their respective longitudinal axii to define a portion of the circumference of a circle about the major axis of receiver body 380, as most readily seen in the front view of
When lancet 104 is fully inserted into receiver 170, sleeve 130 is disposed in the closure defined by upper and lower guide fins 382, 384 and lateral fins 386, 388, with the rear end 152 of sleeve 130 abutting a backstop 389 (
Reinforcements 390, at the rear end of upper and lower guide fins 382 and 384, provide rigidity to guide fins 382 and 384 and to align the receiver within the housing. Lateral fins 386 and 388 do not have reinforcements and are sufficiently thin so as to have flexibility in response to lateral forces.
The front tips of lateral fins 386 and 388 include opposing inwardly projecting snaps 392. When lateral fins 386 and 388 are in a relaxed state (that is, not flexed outward), the distance between snaps 392 is slightly less than the diameter of annular flange 164 of sleeve 130. As lancet 104 is inserted into receiver 170, annular flange 164 abuts snaps 392. Continued insertion of annular flange 164 against snaps 392 will flex lateral fins 386 and 388 slightly apart, permitting passage of annular flange 164 into elongated interior chamber 381. Once annular flange 164 is clear of snaps 392, lateral fins 386 and 388 (having been pushed apart) urge snaps 392 into clasping engagement with mounting shoulder 166 on the front side of annular flange 164, as best seen in
Elongated interior chamber 381 is configured for mating engagement with the external contours of lancet sleeve 130 and lancet body 122. As shown in the cut-away perspective view of
Forward internal portion 400 of receiver body 380 has a diameter sufficiently wide to accommodate the rear portion 158 of sleeve 130. Forward internal portion 400 forms lateral guide wall 404 a which has a vertical planar face and upper guide wall 404 b which has a horizontal planar face forming a 90° intersection 405 with guide wall 404 a in the upper right-hand portion of elongated interior chamber 381.
As seen in
When lancet 104 is initially inserted into receiver 17 by the user, sleeve 130 is in its extended protective position and locking member wings 132 a, 132 b are in the extended configuration to engage sleeve 130 and prevent sleeve 130 from sliding toward the rear end of lancet body 122 (as shown in
During insertion of the lancet 104 into receiver 170, the rear half of lancet body slides readily through the rearward internal portion 402 of receiver. As wings 132 a, 132 b enter rearward internal portion 402, they are folded into wing wells 142 a, 142 b by the constricted width between guide walls 408 into the retracted configuration, as best seen in
When lancet 104 is fully inserted into lancing device 102, sleeve 130 is secured to receiver 170 by snaps 392 (at sleeve's front end 150) and backstop 389 (at sleeve's rear end 152). Thus, axial movement of receiver 170 will cause sleeve 130 to slide axially relative to piercing aperture 110 from its finger mode position (shown in
When lancet sleeve 130 is fully inserted into receiver 170, rear end 152 of sleeve 130 will impinge on backstop 389 of receiver 170, so that lancet sleeve 130 (and consequently, lancet body 122), cannot be further inserted. Thus, firm insertion of lancet 104 when lancing device 120 is in AST mode will cause conical rear end 136 of lancet body 122 to drive lancet carrier 208 rearward into its cocked position shown in
It will be seen that AST mode actuator ring 116 and receiver 170 function together as an actuator that releasably engages sleeve 130 to permit the user to selectively move sleeve 130 relative to housing 106 and lancet needle 118. Other mechanisms can be employed within the scope of the present invention to accomplish this function. For example, referring to
It should also be noted that while AST mode actuator ring 116 and receiver are directly coupled together, they may also be effectively coupled for purposes of the invention through one or more intermediate parts.
Ejection Slide and Ejection Actuator
Ejection actuator 121 is slidably mounted within housing 106 and includes an elongated main body 420 having top surface 422. A finger 424 extends from top surface 422 near the front end of main body 420 into the underside of receiver 170 through elongated slot 222, where finger 424 is to the rear of and the same height as the down most portion of ejection shoulder 168, as best shown in
Tongues 426 projects through slots 240 and are received by wells 430 formed on the interior side of ejection slide 115. Tongues 426 can be affixed in wells 430 by means of adhesive, snap engagement or other suitable means. Thus, ejection slide 115 is coupled to ejection actuator 121 so movement of one will cause movement of the other.
During lancing operations, ejection slide 115 and ejection actuator 1121 are in their rearmost at rest positions. To eject lancet 104, the user slides ejection slide 115 forward toward piercing aperture 110 from its at rest position. This in turn causes ejection actuator 121 to slide within housing, engaging and ejecting lancet 104 as described below. A spring or other biasing device (not shown) can be provided to bias ejection slide 115 and ejection actuator 121 in their most rearward position so as to avoid unintended ejection of lancet 104.
Ejection actuator 121 operates in conjunction with a locking member 432, which is disposed between top surface of main body 420 and lower jaw 264 of lancet carrier 208. The function of locking member 432 is to restrain the release of the lancet body 122 from the upper and lower jaws 262, 264 of the lancet carrier 208 until the lancet sleeve 130 has been fully extended by the ejection actuator 121.
Locking member 432 has an elongated body 434 having an upper surface 436 and a lower surface 438. Near its front end 440, elongated body 434 forms an upwardly facing bar 442 and a downwardly facing convex surface 444. At its rear end, elongated body 434 is pivotally mounted to lancet carrier 208 by pivot 446, so as elongated body 434 rotates about this pivot, its front end 440 is raised and lowered relative to the lower jaw 264 of lancet carrier 208.
Locking member 432 is aligned in parallel superposition with ejection actuator 121 so that locking member 432 rests on a top surface 422 of ejection actuator 121. Top surface 422 includes an upwardly-facing concave recess 450 sized and shaped to hold the downwardly facing convex surface 444 of locking member 432. When ejection actuator 121 is in its most rearward position, convex surface 444 is aligned with and rests in concave recess 450. In this position, bar 442 is clear of lower jaw 264.
As the user continues to slide ejector 115 forward, finger 424 moves through the slot 222 in the receiver 170, until it engages ejection shoulder 168 formed in an annular flange 164 of the lancet sleeve 130 (see also
With ejection slide 121 moved to its full forward position, finger 424 has pushed sleeve 130 so that its front portion 156 protrudes through piercing aperture 110 of cap 108. The user may now engage the protruding front portion 156 to pull lancet 104 out of the lancing device 102. Because the sleeve 130 has been extended to surround needle's sharp tip, it is less likely that the user will prick himself or herself in grasping the lancet 104 for removal. Lancet 104 may also be dropped out of lancing device 102 without the user touching lancet 104 at all.
Arms 512 are flexible to permit bumps 510 to move toward cap 500 when bumps 510 are pressed against the user's skin. When bumps 510 move toward cap 500, they draw closer to the piercing aperture 502, concentrating blood near the incision. Electrometric cover 508 serves to add compliance to the skin as well as to spread the motion of bumps 510 to adjacent skin. Arms 512 can include stops or other suitable mechanisms (not shown) to limit inward movement of bumps 510. This permits lancing depth to be more predictable and less dependant upon the force applied to the user's skin.
Additional Embodiment of Depth Adjustment
Because sleeve 150 extends beyond piercing aperture 110, it spaces the user's finger away from needle 118 and reduces by the distance “d” the length of sharp tip 120 that is exposed to penetrate the user's skin. The farther out sleeve 130 is extended, the less distance sharp tip 120 penetrates the user's skin.
Additional Embodiment of Lancing Device
Lancing device also includes a trigger assembly 515 that includes a trigger button 523 that projects through a trigger aperture 203′ in housing 106′. An ejection slide 519 is provided to eject lancet 104 from lancing device 102′ after use. Housing 106′ includes right- and left half portions, 204′ and 206′, respectively.
An AST mode actuator ring 116′ is provided which operates with a receiver 170′ substantially as described above with respect to actuator ring 116 and receiver 170.
A carriage assembly 517 is disposed within housing 106′ for sliding axial movement to and away from piercing aperture 110′. Included in carriage assembly 517 is a slidable lancet carrier 208′ that engages lancet 104, a drive spring 210′ that propels the lancet carrier 208′ toward piercing aperture 110′ to drive lancet 104 to pierce the user's skin or other bodily tissue. Also included with in carriage assembly 517 is a return spring 212′ that propels lancet carrier 208′ rearward to withdraw lancet 104 from the user's skin after piercing. If desired, lancing device 102′ can be equipped with other drive mechanisms, such as a coil spring, a leaf spring, and electromechanical or electromagnetic drive or other suitable mechanisms known in the art to propel lancet carrier 208′ axially within housing 106′.
Lancing device 102′ includes a depth adjuster 521 which operates in concert with carriage assembly 517. As explained below, the user's rotation of depth adjuster 521 causes carriage assembly 517 to slide axially within the housing 106′ to regulate penetration depth of lancet 104 when lancing device 102′ is fired.
Ejection Slide and Ejection Actuator
Ejection actuator 516 is slidably mounted within housing 106′ and includes an elongated main body 518 with a spine 520 extending upwardly therefrom along the longitudinal extent of the main body. Spine 520 includes a finger 522 whose structure and function is the same as that of finger 424 described above. Ejection actuator 516 operates in conjunction with a locking member 524 (which is used in place of the locking member 432 described in the previous embodiments).
To eject lancet 104 (not shown in
As ejection actuator 516 slides forward (in the direction of arrow A in
As with the embodiments of
After lancet 104 is ejected, ejection actuator 516 returns rearward to its at-rest position as shown in
It will appreciated that that when locking member 524 is in its closed configuration, substantially all of the force exerted on locking member 524 by lancet carrier 208′ is transmitted to housing 106′ via main cylindrical body 526, whose interface with housing 106′ acts as a bearing surface, which is static while locking member 524 is in its closed configuration. Other bearing surfaces can be provided as well (apart from ejection actuator 516) and substantially all of the force exerted by lancet carrier 208′ can be distributed amongst these bearing surfaces in any desired proportion.
Additionally, the forward thrust of lancet carrier 206′ upon upper arm 528 urges locking member 524 to continue rotating in a clockwise direction of arrow D (as shown in
An alternative embodiment in the form of ejection actuator 516′ and locking member 524′ is illustrated in
Lower arm 530′ extends from cylinder 526′ so that its distal end extends into a notch 538′ in elongated main body 518′. Notch 538′ defines a front wall 540′ and rear wall 542′ as best seen in
If desired, a bias element such as a spring can be included to also urge locking member 524′ to rotate in the direction of arrow E.
Interlock member 554 cooperates with a trigger assembly 515. With respect to the cocking and firing operations of lancing device 102, trigger assembly 515 operates in substantially the same manner as trigger 114 shown in
As explained below, trigger button 523 is coupled to interlock member 554 so that when lancing device 102′ is cocked, the resulting upward movement of trigger button 523 causes interlock member 554 to swing to an engagement position (shown in
A resilient cantilever spring 526 extends from an off-center rear portion of cylinder 560 and terminates in a distal portion 563 that is spaced apart from main body 556. Distal portion 563 of cantilever spring 562 engages housing 106′ in a position that flexes cantilever spring 562 and urges interlock member 554 to rotate about the major axis of cylinder 560 to move blocking member 558 to its engagement position in which at least a portion of the blocking member 558 is interposed between the front end of the housing 106′ and the lancet holding assembly to block full insertion of the lancet 104 into the housing 106′ by blocking the path of insertion P of lancet 104 (see
As best seen in
A cam follower 566 extends upward from main body 556. As best seen in
Because of the slope of cam surface 576, upward movement of trigger button 523 will permit finger 570 to move (under the bias force of cantilever spring 562) in the direction of arrow “C” toward the path of insertion P (see
Likewise, downward movement of trigger button 523 will force finger 570 to move in the direction of arrow “D” away from the path of insertion P (see
As shown in
It will be appreciated that the lancet interlock detailed above may be any other suitable interlock means, including for example slidable locking means or push tab locking means. It will be further appreciated that the movement of interlock member 554 may be actuated by other suitable arrangement and references to such arrangements are not limited to trigger button 523. For example, lancet carrier 208 can be coupled by cam action to interlock member 554 to urge interlock member 554 out of path of insertion P when lancet carrier 208 is moved out of its cocked position.
As seen in
When lancet carrier 208′ is fired, its forward motion is limited by a fixed projection such as a stop 593 located on carriage 580. Projection or stop 593 is fixed and is not aligned with or otherwise moved relative to lancet carrier 208′. Thus, in each cycle of cocking and firing, the length of travel of lancet carrier 208′ can be the same. The stop 593 can be located and positioned in any suitable manner such as the top, bottom, front or rear of carriage assembly 517. Note that the position of projection stop 593 is fixed and is not moved or aligned relative to lancet carrier 208′
Carriage assembly 517 is slidably disposed with housing 106′, which includes a pair of guide tracks 596 on at least the right half housing portion 204′ as shown in
The function of depth adjuster 521 is to permit users to adjust the penetration depth of lancet 104 when lancing device 102′ is fired. Referring to
Carriage assembly 517 is positioned within housing 106′ so that fingers 612 a, 612 b extend into the interior of depth adjustment ring 614 and engage threads 616. When a user rotates depth adjustment ring 614, threads 616 acts on fingers 612 a, 612 b to drive carriage assembly 517 in sliding axial motion to and from piercing aperture 110′. Note that the path of travel of lancet carrier 208′ during firing of lancing device 102′ does not vary relative to carriage assembly 517. Thus, when depth adjustment ring 614 is rotated in a first direction, carriage assembly 517 is moved closer to piercing aperture 110′, the entire lancet carrier 208′ and its travel path is also moved closer to piercing aperture 110′. As a consequence, sharp tip 120 of lancet 104 extends farther from piercing aperture 110′ when lancing device is fired, and thus penetrates more deeply into the user's skin. Similarly, when depth adjustment ring 614 is rotated in a second direction, carriage assembly 517 is moved away from piercing aperture 110′, so that the entire lancet carrier 208′ is moved away from piercing aperture 210. As a consequence, sharp tip 120 of lancet carrier 104 extends a shorter distance from piercing aperture 110′ when lancing device 102′ is fired, and thus penetrates less deeply into the user's skin.
It will be appreciated that manipulation of depth adjustment ring 614 permits the user to adjust the ultimate penetration depth of lancet 104 when lancing device 102′ is fired. The exterior of depth adjustment ring 614 is accessible to users for rotation and can include indicia 620 and a knob 622 to facilitate manipulation by the user. As depth adjustment ring 614 rotates, indicia 620 are visible to the user to indicate the resulting depth setting.
To accommodate movement of carriage assembly 517, a trigger assembly 515 is provided as shown in
Rigger assembly 515 includes trigger button 523 which is captured by a trigger aperture 203′ in housing 106′ and a trigger arm 626 having a front end 628 and a rear end 630 and laterally-oriented mounting aperture 632 therebetween. Trigger arm 626 is mounted by aperture 632 to boss 608 extending from carriage 580 so that trigger arm 626 can pivot about boss 608 in see-saw fashion. Alternatively, aperture 632 can be located near end of trigger arm 626. Note that trigger button 523 is captured by trigger button aperture 203′ so that it cannot move in a longitudinal direction relative to housing 106′ as carriage assembly 517 is moved by depth adjustment ring 614. In contrast, trigger arm 626 is mounted to boss 608 of carriage 580, so that when carriage assembly 517 moves axially within housing 106′, trigger arm 626 is also moved axially with carriage assembly 517.
To accommodate the axial movement of trigger arm 626, front end 628 of trigger arm 626 is received in sliding engagement by a recess 634 in trigger button 523, so that the trigger arm 626 can be extended relative to trigger button 523 by varying lengths as carriage assembly 517 slides within housing 106′. Recess 634 includes interior guide surfaces 633 a-633 d which correspond in mating engagement to guide surfaces 635 a-635 d, respectively on trigger arm 626, as best seen in
A clip spring 636 or other suitable biasing mechanism is coupled to housing 106′ and urges the rear end 630 of trigger arm 626 downward and front end 628 upward, so that trigger button 523 extends through trigger aperture 203′. In this position, a latch 638 that depends from rear end 630 of trigger arm 626 can engage lancet carrier 208′ to hold it in a cocked position. When a user presses trigger button 523, the bias of clip spring 636 is overcome, and trigger arm 626 pivots so that the front end 628 moves downward and the rear end 630 moves up, effectively firing lancing device 102′ by lifting latch 638 up off of lancet carrier 208′ so that drive spring 210′ can propel lancet carrier 208′ toward piercing aperture 110′.
Because trigger arm 626 moves with carriage assembly 517, the relative axial position of trigger arm 626 and the front end of lancet carrier 208′ can be fixed. When lancet 104 is inserted into lancing device 102′, lancet 104 engages lancet carrier 208′ to both insert the rear end of lancet 104 into lancet carrier 208′ and push lancet carrier rearward into a cocked position, as described above. Trigger arm 626 can be positioned so that trigger assembly 515 goes into a cocked configuration at or just after the time when lancet 104 has been inserted into lancet carrier 208′. Thus, the cocking of trigger assembly 515 (and the attended visual indication of trigger button 523 extending through housing 106′) occurs after a user has successfully inserted lancet 104 into lancet carrier 208′. If the cocking of trigger assembly 515 occurs earlier, the user may stop inserting lancet 104 on the mistaken perception that the lancet was successfully inserted. If the position of trigger arm 626 did not move with carriage assembly, then cocking of trigger assembly 515 could occur at different times relative to the insertion of lancet 104 into lancet carrier 208′ depending on the axial position of carriage assembly 517.
Alternative Embodiment of Lancet
Wings 660 a, 660 b can flap into retracted configuration by folding planar flexion members 670 a, 670 b from their extended position shown in
Sleeve 658 is generally tubular with an elongated inner chamber 674 having a cylindrical contour to receive lancet body 656. The cylindrical contour of inner chamber 674 is modified by the inclusion of wing engagement surfaces 678 a, 678 b, which are a pair of wide, shallow lateral grooves on opposing lateral sides of sleeve interior chamber 674 that extend the length of sleeve 658. Although sleeve 658 is tubular, sleeve 658 can be made with different sectional shapes or slots (to reduce the material used to manufacture sleeve 658). In additional embodiments, the sleeve 658 has a cross section that is one of polygonal, circular and ovular, as shown in
When wings 660 a, 660 b are in extended configuration (as shown in
However, when wings 660 a, 660 b are in their retracted configuration (that is, folded into wing wells 672 a, 672 b as shown in
While wings 660 a, 660 b are made of a deformable, resilient material, it is possible in rare cases that if wings 660 a, 660 b remain in a folded position for along time, they may lose resiliency and therefore not return to their extended position when lancet 650 is ejected from its lancing device 102 and sleeve 658 is pushed to its extended protected position. This may occur, for example, if lancet 104 is loaded into lancing device 102 and is then left by the user without further use for a long period of time, particularly if lancing device 102 is subject to high temperature. Alternatively, if lancet 650 is used repeatedly (inserted, ejected from and re-inserted into lancing device 102), wings 660 a, 660 b may lose resiliency and therefore not return to their extended position when lancet 650 is ejected from lancing device 102.
If wings 660 a, 660 b did not return to their extended position, then upon ejection it is possible that sleeve 658 would not be locked into its extended position. To ensure that this does not happen, the alternative embodiment of
Planar flexion member 684 a, 684 b are sized and configured so that the wing span of wings 680 a, 680 b is equal to or less than the diameter of the interior chamber 674 of sleeve 658, with the sleeve 658 having a diameter of less than 5 mm. During use and operation of lancet 650, second par of wings 680 a, 680 b may be within the interior chamber 674 of sleeve 658. However, as shown in
When lancet 650 is ejected from lancing device 102 (as described above), sleeve 658 is pushed forward to its extended position where it surrounds needle sharp 654. As sleeve 658 slides forward relative to lancet body 656, second pair of wings 680 a, 680 b pass through a neck 686 in the rear end of sleeve 658. The diameter of neck 686 is less than the diameter of chamber 674 and also less than the wingspan of wings 680 a, 680 b when in an extended configuration. Wings 680 a, 680 b are configured so that when the rear-facing surface of planar flexion members 684 a, 684 b engages neck 686, it is pushed toward the longitudinal axis of lancet body 656, in effect folding wings 680 a, 680 b to permit their passage through neck 686.
Once sleeve 658 has moved fully forward, so that wings 680 a, 680 b have passed through neck 686, then wings 680 a, 680 b return to their relaxed position, as shown in
Because the flexion of wings 680 a, 680 b occurs for a short interval upon ejection of lancet 650, there is less chance that wings 680 a, 680 b will lose their resiliency and fail to extend to a wingspan sufficient to lock sleeve 658 into place. In the unlikely event that wings 660 a, 660 b were to fail, wings 680 a, 680 b would in all probability be operable to prevent sleeve 658 from sliding completely out of its extended forward position protecting needle sharp 654.
Note that one possible configuration to package lancet 650 is such that when it is initially manufactured, a frangible tab similar to frangible tab 124 (see
A variety of structures may be used to perform the locking function. These other structures include, but are not limited to, pivoting members that pivot rather than fold into the wing wells, studs that extend out from the lancet body that can be pushed into a retracted position into a well in the lancet body, or barbs. For example, referring to
Lancet 690 is similar in form and function to lancet 104. Lancet 690 includes a needle 694 (not shown) that is encased in elongated lancet body 698. A sleeve 700 slides axially over a portion of the lancet body 698 between an extended position in which it protectively surrounds the needle sharp, and a rearward position in which a portion of sharp protrudes beyond the front end of sleeve 700.
Lancet body 698 has a substantial cruciform cross section to define four elongated guide ribs 702 a-d extending radially at ninety degree intervals.
Sleeve 700 includes a rear end having a cruciform opening 704 to engage the four guide ribs of lancet body 702 a-d so that sleeve 700 can slide axially over lancet body 698.
Extending from ribs 702 a and 702 b are wings 706 a and 706 b, respectively. Wings 706 a, 706 b function substantially as wings 660 a, 660 b described above. Wings 706 a, 706 b are configured as an inclined planar flexion member extending from and integral with each of ribs 702 a and 702 b, respectively.
Barbs 692 a, 692 b are aligned with ribs 702 c and 702 d, respectively. Barbs 692 a, 692 b have flexible portions 708 a and 708 b forming in a V-shaped configuration, with the point of the V facing rearward. The rearward ends of portions 708 a, 708 b define a width that is wider than the portions 710 a and 710 b of cruciform opening 704 that receives barbs 692 a, 692 b when sleeve 700 moves rearward relative to lancet body 698. However, the inter chamber of sleeve 700 is sized to accommodate barbs 692 a, 692 b without deformation.
When lancet 690 is initially manufactured, sleeve 700 can be positioned relative to lancet body 698 so that barbs 692 a, 692 b are within the interior chamber of sleeve 700, which includes opposing longitudinal engagement surfaces 712 a and 712 b (see
Once sleeve 700 has moved fully forward, so that barbs 692 a, 692 b have passed through opening portions 710 a, 710 b, then flexible portions 708 a, 708 b return to their relaxed position, as shown in
Alternative Embodiment of Ejection Locking Member
When lancing operations are completed, the user will actuate ejection actuator 516′ as described above to remove lancet 104 (not shown in
An advantage of ejection locking member 750 is that its neutral position is blocking lancet carrier 208′. Thus when ejection actuator 516′ is moved forward, the spring-like action of ejection locking member 750 provides for reliable and quick transition to a blocking position.
The above-mentioned embodiments have been described in order to allow easy understanding of the present invention. The invention is not to be limited to the disclosed embodiments but, on the contrary, is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the appended claims, which scope is to be accorded the broadest interpretation so as to encompass all such modifications and equivalent structures as is permitted under the law.
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|Cooperative Classification||A61B5/151, A61B5/1411|
|European Classification||A61B5/151, A61B5/14B2|
|5 Jun 2007||AS||Assignment|
Owner name: ABBOTT DIABETES CARE INC., CALIFORNIA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:DESIGN CONTINUUM, INC.;REEL/FRAME:019384/0163
Effective date: 20070511
Owner name: FACET TECHNOLOGIES, LLC, GEORGIA
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Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:CURRY, SAMUEL MASON;WYLER, JONATHAN M.;REEL/FRAME:019383/0810
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Effective date: 20070521
|18 Jul 2014||AS||Assignment|
Owner name: GENERAL ELECTRIC CAPITAL CORPORATION, AS AGENT, MA
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Effective date: 20140718
|25 Aug 2014||FPAY||Fee payment|
Year of fee payment: 4
|18 Nov 2015||AS||Assignment|
Owner name: HEALTHCARE FINANCIAL SOLUTIONS, LLC, MARYLAND
Free format text: ASSIGNMENT OF SECURITY INTEREST FROM GENERAL ELECTRIC CAPITAL CORPORATION, AS AGENT, TO HEALTHCARE FINANCIAL SOLUTIONS, LLC, AS AGENT;ASSIGNOR:GENERAL ELECTRIC CAPITAL CORPORATION, AS AGENT;REEL/FRAME:037128/0117
Effective date: 20151116